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1568922649
CHANG SUNG SHIN
VAN NUYS, CA
NPI
1568922649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 19680)
Enumeration Date
2019-03-23
Last Update Date
2022-06-23
Business Address
CHANG SUNG SHIN DO
15107 VANOWEN ST
VAN NUYS, CA 91405-4542
Phone number: 818-325-0200
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Mailing Address
CHANG SUNG SHIN DO
14320 VENTURA BLVD STE 217
SHERMAN OAKS, CA 91423-2717
Phone number: 626-422-0201
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